Question

A nurse is providing discharge instructions to an older adult client following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?

a. Install a raised toilet seat at home.
b. Use stairs frequently to strengthen the hip joint.
c. Engage in high-impact aerobics for exercise.
d. Avoid using assistive devices like crutches or walkers.

Answer 1

Post hip replacement surgery, it is important to install a raised toilet seat, avoid high-impact activities and excessive use of stairs, and correctly utilize assistive devices like crutches or walkers during the recovery period.

Step-by-step explanation:

The most crucial instruction for a client following a total hip arthroplasty is to install a raised toilet seat at home. This will reduce the strain on the new hip joint and facilitate safe and independent toileting.

While it's beneficial to include physical activity in the recovery process, it is essential to avoid high-impact aerobics and use low-impact exercises like swimming or biking instead. High-impact activities can put unnecessary stress on the new hip joint, potentially leading to complications.

Using stairs is another activity that should be minimized as it can be strenuous on the hip joint. Only when the surgeon advises should the client gradually incorporate stair use into their routine, and even then, the use should be cautious and limited to strengthen the joint without overexertion.

Clients should not avoid using assistive devices such as crutches or walkers. These are crucial in the initial stages of recovery to ensure stability and support while the hip heals and should be used until the healthcare provider recommends otherwise.